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General NPI Number Information
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NPI Number | 1326588104
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Entity Type | Individual
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Provider Name | SHALUNDRAH MCINTIRE
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Gender | Female
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 4475 W VILLAGE PKWY
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City | ELLENWOOD
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State | GA
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Zip | 30294-2869
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Country | US
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Telephone | 770-507-7950
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Fax | 716-710-8082
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Provider Business Mailing Address
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Address Line | 3333 RIVERWOOD PKWY SE STE 250
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City | ATLANTA
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State | GA
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Zip | 30339-3304
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Country | US
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Telephone | 770-914-0116
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Fax | 770-955-4278
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN223627
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License Number State | GA
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